Natural tooth crown as a pontic in esthetic zone-An immediate solution

Sudden loss of a tooth in the esthetic zone could be due to various reasons like periodontal disease, trauma, endodontic failure which is psychologically and socially damaging to the patient. Despite a wide range of treatment options available, traumatised teeth may be inevitably lost on certain occasions and cannot be fixed immediately. This paper describes the immediate replacement of a periodontally involved mandibular right central incisor using a fibre glass splint with the natural tooth crown as a pontic. The abutment teeth could be conserved with minimal or no preparation, keeping the technique reversible. Entire procedure was completed in a single visit at the chair side, avoiding any extra appointments for the patient and laboratory cost. Technique used could be considered as interim measure or a definitive prosthesis. Patient was completely satisfied as immediate replacement of the same tooth was successfully provided solving aesthetic, masticatory and phonetic problems, maintaining the edentulous space.